Organization · Type 2 NPI
Shenandoah Eye Clinic
Eyewear Supplier · Baton Rouge, LA
NPI number
1497707780
Active
Practice location
5237 Jones Creek Road
Baton Rouge, LA 70817-2124
Fax (225) 755-2272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | None listed |
| Corneal and Contact Management Optometrist | 152WC0802X | None listed |
| Sports Vision Optometrist | 152WS0006X | None listed |
| Eyewear Supplier Primary | 332H00000X | LA773206T (LA) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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About NPI 1497707780
Shenandoah Eye Clinic's National Provider Identifier is 1497707780, issued on May 16, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Baton Rouge, LA. The record was last updated on Jul 9, 2014.